HLA-DRB1 and -DQB1 polymorphism in liver recipients: relationship between HLA-DQB1*0302 allele frequency and acute rejection.
Polymorphism of HLA-DRB1 and HLA-DQB1 loci was performed in fifty-three orthotopic liver graft recipients as well as in 108 unrelated healthy controls. Nonradioactive SSOPs were used to study PCR-amplified DNA from peripheral blood lymphocytes and biopsied material. The comparison frequency for DQB1 alleles did not reveal any significant differences between the total group of liver recipients and controls. However, when the liver recipients were subgrouped according to their rejection episode manifestations, increased and significant frequencies were observed for HLA-DQB1*0302 allele in patients showing acute rejection episodes compared to healthy controls or patients without acute rejection. This relationship did not appear influenced by the amino acid beta alanine residue in the 57th position. On the other hand, the study of the DRB1 allele frequencies did not show significant differences in any study. These results suggest that HLA-DQB1 genes could be important in the liver graft alloresponses, opening a way to a better understanding of the special tolerance state, normally observed in this type of transplant, leading us to consider the possible HLA-DQB1*0302 allele effect on tolerance rupture.
Muro
M
M
Department of Immunology, University Hospital Virgen de la Arrixaca, Murcia, Spain.
Alvarez-López
M R
MR
Torío
A
A
Ontañón
J
J
Minguela
A
A
Marín
L
L
García-Calatayud
M C
MC
Bermejo
J
J
García-Alonso
A M
AM
D000483:Alleles; D005787:Gene Frequency; D006084:Graft Rejection / Q000235:genetics; D006683:HLA-DQ Antigens / Q000235:genetics*; D006684:HLA-DR Antigens / Q000235:genetics*; D006801:Humans; D015810:Linkage Disequilibrium; D016031:Liver Transplantation / Q000276:immunology / Q000502:physiology*; D011110:Polymorphism, Genetic; D013223:Statistics as Topic
D006683:HLA-DQ Antigens; D006684:HLA-DR Antigens